# WILLIE L. STEPHENS, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689950412
- **Authorized official:** DR. WILLIE L. STEPHENS DDS (PRESIDENT)
- **Authorized official phone:** (781) 235-4554

## Contact information

- **Practice address:** 372 WASHINGTON ST, SUITE 2500, WELLESLEY, MA 02481-6202
- **Practice address phone:** (781) 235-4554
- **Practice address fax:** (781) 237-2947
- **Mailing address:** 372 WASHINGTON ST, SUITE 2500, WELLESLEY, MA 02481-6202
- **Mailing address phone:** (781) 235-4554
- **Mailing address fax:** (781) 237-2947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2011
- **Last updated:** 10/25/2011